Evidence map›Paper›PMID 33186085›Full record

ArticleJCO oncology practice2021

Clinical Trial Metrics: The Complexity of Conducting Clinical Trials in North American Cancer Centers.

Carrie Lee, Theresa L Werner, Allison M Deal, Cassandra J Krise-Confair, Tricia Adrales Bentz, Theresa M Cummings, Stefan C Grant, Ashley Baker Lee, Jessica Moehle, Kristie Moffett and 5 more

Open access · hybridAbstract read
In one paragraph

Article in JCO oncology practice, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
1.3field-weighted citation impact, top 18% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 15 citations in OpenAlex.

  1. Article
  2. Canadian oncology nursing journal = Revue canadienne de nursing oncologique · 2026
    Article
  3. Scoping review of oncology clinical trials nursing: Roles, competencies, and evolving practice in cancer research.Canadian oncology nursing journal = Revue canadienne de nursing oncologique · 2026
    Article
  4. Evaluating the impact of delayed study startup on accrual in cancer studies.Contemporary clinical trials communications · 2025
    Article
  5. Article
  6. Article
  7. Article
  8. Review
  9. Review
  10. Article
  11. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

15 authors at 11 institutions in 1 country.

Carrie LeeUNC Lineberger Comprehensive Cancer Center, University of North Carolina at Chapel Hill, Chapel Hill, NC.ORCID 0000-0003-4786-3834
Theresa L WernerHuntsman Cancer Institute, University of Utah, Salt Lake City, UT.
Allison M DealUNC Lineberger Comprehensive Cancer Center, University of North Carolina at Chapel Hill, Chapel Hill, NC.ORCID 0000-0003-3526-3938
Cassandra J Krise-ConfairStarzl Network for Excellence in Pediatric Transplantation, Pittsburgh, PA.
Tricia Adrales BentzHollings Cancer Center, Medical University of South Carolina, Charleston, SC.
Theresa M CummingsUniversity of Maryland Marlene and Stewart Greenebaum Comprehensive Cancer Center, Baltimore, MD.ORCID 0000-0002-5428-0840
Stefan C GrantWake Forest University Baptist Comprehensive Cancer, Winston Salem, NC.ORCID 0000-0001-9053-3852
Ashley Baker LeeCity of Hope Comprehensive Cancer Center, Duarte, CA.
Jessica MoehleHuntsman Cancer Institute, University of Utah, Salt Lake City, UT.ORCID 0000-0001-8103-2220
Kristie MoffettMoffitt Cancer Center, Tampa, FL.
Helen PeckWilmot Cancer Institute, University of Rochester Medical Center, Rochester, NY.ORCID 0000-0001-8104-108X
Stephen WilliamsonUniversity of Kansas Cancer Center, Kansas City, KS.
Aleksandar ZafirovskiRobert H. Lurie Comprehensive Cancer Center of Northwestern University, Chicago, IL.
Kate ShawAssociation of American Cancer Institutes, Pittsburgh, PA.
Janie K HofackerAssociation of American Cancer Institutes, Pittsburgh, PA.
American Association For Cancer Research · USUniversity of North Carolina at Chapel Hill · USUniversity of Utah · USAtrium Health Wake Forest Baptist · USCity of Hope · USMedical University of South Carolina · USMoffitt Cancer Center · USNorthwestern University · USThe University of Kansas Cancer Center · USUniversity of Maryland, Baltimore · USUniversity of Rochester Medical Center · US

Funding

Project 2: Targeting Cooperative Phenotypes Common in Spatial HeterogeneityU54CA209978 · NCI · UNIVERSITY OF UTAH · PI BILD, ANDREA HOPE · 2017 to 2021
$10.5M
NCI NIH HHS U54 CA209978
6 · The paper itself

Abstract

purposeCancer clinical trials offices (CTOs) support the investigation of cancer prevention, early detection, and treatment at cancer centers across North America. CTOs are a centralized resource for clinical trial conduct and typically use research staff with expertise in four functional areas of clinical research: finance, regulatory, clinical, and data operations. To our knowledge, there are no publicly available benchmark data sets that characterize the size, cost, volume, and efficiency of these offices, nor whether the metrics differ by National Cancer Institute (NCI) designation. The Association of American Cancer Institutes (AACI) Clinical Research Innovation (CRI) steering committee developed a survey to address this knowledge gap.

methodsAn 11-question survey that addressed CTO budget, accrual and trial volume, full-time equivalents (FTEs), staff turnover, and activation timelines was developed by the AACI CRI steering committee and sent to 92 academic cancer research centers in North America (n = 90 in the United States; n = 2 in Canada), with 79 respondents completing the survey (86% completion rate).

resultsThe number of FTE employees working in the CTOs ranged from 4.5 to 811 (median, 104). The median number of analytic cases (ie, newly diagnosed or received first course of treatment) reported by the main center was 3,856. Annual CTO budgets ranged from $250,000 to $23,900,000 (median, $8.2 million). The median trial activation time, based on 61 centers, was 167 days. The median number of accruals per center was 480 (range, 5-6,271) and median number of trials per center was 282 (range, 31-1,833). Budget and FTE ranges varied by NCI designation.

conclusionThe response rate to the survey was high. These data will allow cancer centers to evaluate their CTO infrastructure, funding, portfolio, and/or accrual goals as compared with peers. A wide range in each of the outcomes was noted, in keeping with the wide variation in size and scope of cancer center CTOs across the United States and Canada. These variations may warrant additional investigation.

Indexed as

BenchmarkingNeoplasmsCanadaHumansNational Cancer Institute (U.S.)North AmericaUnited States

Identifiers

PMID33186085
PMCPMC8202063
OpenAlexW3099357888

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.